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3345 Rolling Hills Dr - Zoning Permits & Plans � �---------------- � � For Office Use I Clt of E� aIl � PB��t�: � �a o�� � � � _ ; � 3630 Pilot Knob Road � Eagan MN 55122 i Oate Received`7-Z 1"� j Php�e:{657)675-5685 ' L-------�----------� F�ac_(851)67S-sBsa Emaii: lann(n ct f an. ZONING PERMIT APPLICATION p Please ide.ntify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions, , � Property� � Site Addtess: � � `lt � � �('� �.Informatio� , .' � Owner Name: L� ( E.,' , �, Name: � � �"':C.(�ii.1T'�hone: � � ��' � ' ' Address: r Ci /State2i : Q t � � u/ e�. ri P �hat` v'e,�.� .,� contact sc�►o�b � . ' � Applicant Signature: :�-U r — � Date: �' '.. . Emal address: �Z 1 ��c e ��s� ha f�m r,` � ''���'`� . � ❑Retaining Wall<4 feet �3$riveway ❑ Other: ,� Fatio o sporc Court Type'of WO�k p Sidewalk ❑Fence � � Description of work: � d l�[,�; � � Planning �� Setbacks,,Fiartl surFace coverage,shoreland zoning,bluff�zone/setbacks,,etc: �• � ' , pptov�Denied Date: StaflF: �� - � Notes: Revised Plans Approved: Yes!No p�,�,: Staff: ��Engine�ring� Graaing,drainage,utiliiy easements,wetlands;erosion control,improvements in the Righf-of-Way,etc. Approved l�enied . �ate: statt: Notes: Revised Plans Approved: Yes/No Date: Staff: Comments ' � � CALL BEFORE YOU DIG. Cali Gopher State One Cail at(651)45�4-0002 for protectian against underground utility damage, Ca11 dg hours before you intend to dlg to receive locates of underground utilitie&. www.s�opherstateon�call.ors� G:�Building Inspections\PERMI7aPPuca'nONS rroPosai . °� << A.0•1,. � ,� ,, 547�est County Road E � � � Shoreview, MN 55�26 � �J�d� Aspha�t&Concrete Techn,oXogxes � phone 651-484�-16�6. fax 6S 1-484-8063 Asphalt�Specialties Co. BB� Sesving the Twin Cities Metra Area since 1979 tivww asphal.t,cn,n.Com ' � Licensed •Bcnded • In'sured Name: ���/v .�PSL��'� Email: Date: �'��S street: 3 3!/.S` �//;. � ,'/if city,zip: c'�='� 6�sr-� .s�'i a i Cell Phone: //�_��7g-y2 f�� Home Phone: ' � Estimator:��� Dat�Sold: Ex�avation � Base �r� ❑ OK TO U5E BOBCAT OR TRUCK IN YARD-CUSTOMER IS �Asphelt sqft '')�/(� RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION ❑MiII�Yes � No • �take and string perim�ter � ep�ace as is � � � n � � � ��Loc�te.sprinkler heads� � p Drawing�on s�arate sheec �+ J �Replacs weter shut off cover in driveway Cost:$ . . . , . . . . . . , . . . . . . O:Sawcut ❑Tree stumps J Tree roots gExcavate and haul away existing asphait � ' � ' � � ' ' ' ' ' , ' ' ' " ❑.Excavate and haul away existing concrete • • - • • • • • • • - • • - • ❑ Excavate apron,esphalt/concrete, Replace with , , , , , , , , . , , , , , �Repair major blodc damage, if necsssary additional charge � $ ysv , , initial ..�: . . . . . •�,� ; . . . �f Instail recycled crush rock base as needed,for a finished � • � • • �- . ./ . . . . . thickness of 4-6 inchss,�including existing base. !�''Set grade and compact for proper drainage � � � � � � � � � � � � � � � ❑ Install yard sign . . . . . . . . . . . . . As t�alt n ti . . . . . . . . . . . ,;, . .. --��.:..,. , . ....::. . . . ., �'Touch.u�dr.iveway if.�eeded.priot"�o��spbatt.i�staNation'"" ...-: :.:... .�.�.,.;..... �� � .... •._ .,..�.,__:__.. ....x.M,...�.,--• --. . �, � �Pave MN Dot A�PROVED ,t7��A n r%�. asphalt hot mix at __ .._ _. _�,,,..,-.� � : . . . '��-incMes�oi°npacted�tv'--�3'aTie�R'a"rid�mp edges! � � � � ' ' ❑Custorner-to backfill or'❑A.C.T.$ � � � � � � ' � � � � � � ' 6�WaRanty fol�,^years, against setNement, edge breakoff • • • � • • • � .• � • • • and break up(instructions on reverse side). , , , , , , Concrete • • � � � • • • . • • . • ❑Apron O Sidewalk . �: ' . . . . . . . . . . . . . � Steps ❑ Patio ❑Driveway , D Stoop ❑Curb ❑Other ' � � � � � � ' ' ' ' � ' � ' � D Gacage Floor O Jackhammer/Bobcat ❑ Door Height • • • - • • • • . • � • • • • • - � O Concrete sqft , , , , , , , , , , , , . . , , ❑Review footings,additionel footing not included i�n price ❑ Install rebat�3 ft on canter Cost:$ In�Gtial ' " ' ' � ' ' ' ' ' ' ' ' ' ' ❑4500 psi concrete with fiber mesh,Color additional � l��),�' S^'��r; r! . ❑Finish:❑ Broom ❑ Smooth 0 Stamp ' Z � ? � !��� a��� , , , . . . . . . - ❑Hand Tool joints.0 Sawcut 0 Other f V � ��c-��j �-��r�� ❑Apply curing sealer i-�x a�� ' / ��.�' �'e., � 'r� . . . . . . • • • • . ❑Customer to backfill or❑A.C.T.$ �J . O Warranty for_years (instrvctlons on reverse side) � COMMITTED TQ EXCELLENCE we Propose hereby to tumish.materPals and labor, (7 tomplete with above specifiradon,for the su/n of Price� � '� � • �� �� � f/� PLUS ANY REQUIRED PERMIT FEES DBpOSIf$ 5� � ' a ance upon completion$ �C� Sign9tu�e �?�F�� � qll materlals is guaraMeed to be as spsclfisd.,All work is to De completed in a work- ' I � manshlp-like manner acaording to standara pracnces.Any alteration or deviatlon irom $IQ11a�Uf8 � abwe epec�cetion involving extra coats will be exeCuted only upon wriften orders I I have iead and agree with the ferms and conditions on fhe revgrse side. and wil�Decome an extra charge over and above estimat�.A11 agreements cor�ingent uppn 5b'i�kes,accidenls or deleys beyond ou�ooM�al.A.C.T.Asphelt S(eclaltie8 is Coupons can not becambined&musf be presented at tlme of estimate fuuy covered by Workmans�Compensation end General Liabiliry Insurance �---------------- � For OK�ce Use � � I Cit of�a �� � Pe���- �`' � . Y � , , 3830 Pilot Knob Road '� � � Eagan MN 55122 ��,��y��£ � Date Received: --- � Phone:(659)675-5685 � � ^ � J Fax:(651)'675-5694 , Email: olannintl�icitvofeaaan.com ZdNING PERMIT APPLICATION p Please identify improvements o� a scaled slte plan�drawing that shows lot lines, structures and existing conditions. . � � � ��3 ° '115 `T� �Propertyr,, s�te Add�ess: : lnfoi�rt�ation. �. . � .� ' ,.. , Owner Name: �W 1 e � , ' �' Neme: � �` ��hone: �/ '-`��7 � / � � � � ' ' / �� � ) � . Address: � W � CityiState2ip: �� e VI C.c.�/ Contact, 551�3-(� � Applicant Signatu►e: �.f� Date: . . Email address: (3TJ 1 C C � .1'�.t S �.��Yl h' � ��6 �`S � � ❑Retaining Wall c4 feet J�$riveway ❑Other: � .. � Patio ❑Sport CouR Type.of VHork �p Sidevwalk � O Fence . � , � , Description of work: � d I�� � � •Planning.,,�� Setbacks,hard surface�coverage, 'shoreiand zoning,blutf;zoneise�ra ,,etc. � rove Denied Date: � "� �� Staff: Notes: , Revised Plans Approved: Yes!No Date: Staff: Englneering. 'Grading,drainage,.utiliiy easements,wetlands,erosion control, improvements in tlie Right-of-Way,etc. Approved/Denied . Date: Slaif: Notes: Revisgd Plans Approved: Yes/No Date: Statf: C01111t1@ntS � . � � CALL BEFORE YOU DIG. Call Gopher State One C�II at(657)a54-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.sto�herstateonecall.ors� G:1Building InspectionS�PERMIT APPLICATIONS „` r r c��vao� 547�est County Road E � ���a-�� ' �� �c A.C.T. � , �Shoreview, MN 55126 Asphalt&Conerete Technologies � p]ioi�e 651-484-1696 � fax 651-484-8063 Aspha��.Specialties Co. e� Seruing the �'win Cities Metro.Area since,1979 wwwasphaltmn.COt11 ' Licensed �Bonded • In'sured Neme: �/Z i�i ,l�sL��{� Email• Date: G"��S street: .�3����11.'•�,/`l�//J ¢F �.�., _ _ City,Zip: c�� E�r•-' .5�,-�/z/ Cell Phone: f.s-?l� - 2 4�� Hame Phone: ' � Estimator:l�-�8ti,. Date Sold: E �avation 8� Base �T� o OK TO USE BOBCAT OR TRUCK IN YARD•CUSTOMER IS RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION �isphalt sqft "7`�l�' . p Mill❑�Yes ❑ No ^ � /� �1 � �'1 �Stake and string perimeter � eplace as is ��J �� �.J J_J p Loca'te;sprinkler hes�ds ❑Drawing on separate sheet . p R,epl'ace water shut off cover in driveway Cost:$ • • • • • • • � • • • � ' ' ' ' ❑Sawcut �Tree stumps/Tree roots . . , . . , , , , , . . . ,gExcavate and haul away existing asphalt • p.Excavate and haui away existing concrete � ' ' ' ' ' � ' ' . � Excavate a�pron, asphalt/concrete, Replace with . . . . . . . . . , . . . • • �Rep�ai�major block damage, if necessary additional charge . , , , , $. h�gv _, initia! ”' - �'� - &7 Install recycled crush rock base as needed,for a flnlshed • • � • • ' ' ' ' thidmess of 4-6 inches,�including existing�base. , , , , . , . , . . . . . . �'Set grade and compact for proper drainage � . . . . , f� Install yard sign � ' . � As ,,alt , . . . . ' . I,�f . . ,.. ' . . . � �: . . w. . ,, �:.... . ,.�. . . . . . ,.. . . �•, - �dTouCF►.up dr.iveway if.ne�eded.pfio�`to�ssphal.t:i�st811ation"'-" •,•-, • -� � � --•••••-� � • �� --�•• •�•�-�-�-•----�•'-'-:•-'•" . _ . , [�Pave MN Do4�A�PPROVED���'� �•%w0` asp�alt hot mix at• _ • _ _,�_ _ra..= •• , .- � • ' • _.��.: ��'�� �j�-ir�hes-co�npactechtio--�"—trrcTes-Fland a''�m'p�c�ge�s`. y , . . . . . . . . �. . _ . O��stomer-to backfill or'�A.C.T.$ _ , . . �Warranry fo f�_years, against se�ltlement, edge breakoff � � ' ' ' ' ' ' � and break up(instructrons on reverse side). . . . . . • Concrete . . . . . - - - . . . . . ❑Apron ❑ Sidewalk • � � • • • • • � • • � • � � ❑Steps ❑ Patio � Driveway . . . . . . . . . . . . . . . ❑Stoop ❑Curb ❑Other p Garage Floor�Jackhammer/Bobcat ❑ Doo�Height • • � • � � � • ' ' ' ' ' ' ' ' . '� Concrcte sqft . . . . . . . . . . . . . . . . ❑Review footings,additional focting not included in price , , . . O Install rebar��ft oh center Cost:$ Intitial �, s�a�,n�; T r �4500 psi concrete with fiber mesh,Color additional • ��'��•�� • • � • • • • ' ' ' � ❑ Flnlsh: �Broom ❑ Smooth ❑�tamp • - 2�' ? � /'-'� �r+�� . . . . . . • • • p Hand Tool joints,❑ Sawcut O Other 3�S v �l��3�/ �'�'`r``°"� , , ❑Apply curing sealer z a Mr� ' J �lc�' !'c''�' Y' • ❑Customer to backfill or�A.C.T. $ r � � • • • • • • • • • • • • � � ❑Warranry for_years (instructior+s on reverse side) ,� COMMITTED TO EXCELLENCE We Pro ose hereb to fumish,matertals and labor, s (� � l comple�e with abo e specification,for the su�n of Price$ � �� t�,,,_ � � , � i3�— PLUS ANY REQUIRED PERMIT FEES Deposit$ S U � a ance upon completion$ ���� Signature �!Ci�.?- -y � All matedals is yuaranteed to be as specified.All work Is to be completed In a work- � menship-like mannar according to standard praetices.Any alteration or dev�ation from Signefuf6 above speClAcatlon involviny extra costs will be executed only upon written orders I have rsad and agree wlth ths terms and condhions on the�eveise side. and w►►I become an extra charge over and above estimste.AII agreemer�ts contingent upon strikea,eccidsnts or delaye beyond our control.A.C.T.Asphatt S�eclalties is Coupons Can nat becombined&mu5t be presented at tlme of estimate fully covered by Workmans'Compensation and General Uabiliiy Insurance